Employment Opportunities

Can you perform the essential functions of the position for which you are applying?

yes
no

Are you legally eligible to be employed in the United States?

yes
no

(Proof of identity and eligibility will be required upon employment)

Are you over the age of 18 years?

yes
no

(If no, you may be required to provide authorization to work.)

Have you ever worked for this Company before?

yes
no

(If no, you may be required to provide authorization to work.)

Do you have any relatives or friends who work for the Company?

yes
no

Have you ever done any volunteer work?

yes
no

Are you available to work

Days
Nights
Weekends
Full Time

Days Available: (If employed, I will notify my supervisor in writing, should my availability change.)

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Are you presently employed?

yes
no

If yes, may we contact your employer?

yes
no

Do you belong to any professional, trade, business or civic organizations that deal with the position for which you are applying?

yes
no

Education

Name and Location of School

Course of Study

No. of Years Completed

Diploma or Degree Received

High School

College

Vocational or Trade School

Graduate Work

Have you completed any special courses, seminars and/or training that would enable you to perform the position for which you are applying?

yes
no

Employment

Start with your present or most recent position

Personal References

Give three references (not relatives or employers)

APPLICANTS WILL RECEIVE CONSIDERATION FOR POSITIONS, WITHOUT REGARD TO RACE, COLOR, RELIGION, AGE, SEX, EXCEPT WHERE SEX IS A BONAFIDE OCCUPATIONAL QUALIFICATION, SEXUAL ORIENTATION, MARITAL STATUS, INDIVIDUALS WITH DISABILITIES, AND EQUALLY TO DISABLED VETERANS AND VETERANS OF THE VIETNAM ERA.